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aP gln. SAN JOAQUIN COUNTYI(f(QIIC <br /> t EN ION MENTAL HEALTH DEPARTL-'19T <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> ;Fo ; Telephone:(209) 468-3420 Fax:(209)468-3877 Web:www.sjgov.org/ehd <br /> SWIMMING POOL OFFICIAL INSPECTION REPORT <br /> Name of Facility: v/ — Date: �S <br /> Address: i/),VVLP— City: Zip Code: <br /> Owner/Operator: • Telephone: <br /> Program Element: 2r Program 9WWcord: 0 Inspection Type: Y <br /> Flow Rate(gpm): pH: Chlorine(ppm): Cyanuric Acid(ppm): Temp: Reinspection on or after: <br /> Other: <br /> u [, <br /> RECIRCULATION EQUIPMENT The marked violations represent Health&Safety Code Violations and must be corrected as indicated: <br /> ❑ Filters // '' nG GY �x(iLll- r/a 7' C <br /> ❑ Pumps <br /> Chlorinator 4 t U �� CI J 7�{6 ` I'�G4 <br /> ❑ <br /> ❑ Flowmeter <br /> ❑ Gauges <br /> ElSkimmer&Gutters bat(V a f awe /V1 <br /> ❑ Back Flow Prevention �( <br /> El Main Drain Cover � �� {�, <br /> ❑ Equalizer Line Cover ( S C _ w�I L✓ fy <br /> CONSTRUCTION V ��' r� M _ PL <br /> ❑ Pool Shell �(� u <br /> ❑ Fencing/Gates <br /> ❑ Decking&Coping <br /> ❑ Wade Pool—2 Main Drains <br /> SAFETY EQUIPMENT <br /> ❑ Rescue Pole <br /> ❑ Life Ring <br /> ❑ Safety Signs <br /> ❑ Lifeguard <br /> ❑ Pool/Deck Lighting <br /> ❑ Ladders/Hand Rails <br /> ❑ Depth Markers/Tiles <br /> ❑ 'First Aid Kits <br /> ❑ Emergency Shut-off Switch <br /> RESTROOMS <br /> ❑ Showers <br /> ❑ Toilet& Dressing <br /> ❑ ventilation <br /> WATER QUALITY <br /> ❑ Chlorine <br /> ❑ pH — — <br /> ❑ Cyanuric Acid <br /> ❑ Clarity <br /> ❑ Test Kits <br /> MISCELLANEOUS <br /> ❑ Supervision&Control <br /> ❑ General Sanitation <br /> ❑ Algae' }f <br /> Influent: �I <br /> Time In: ZO eceived y: Inspected by: <br /> Effluent: <br /> Time Out: � : SQ S-. yt-L <br /> EHD 36-015.6-12 SWIMMING POOL OR Page�nn,� <br /> —of�, <br />